Roots of Concern with Nonhuman Animals in Biomedical Ethics Lisa Sideris, Charles McCarthy, and David H. Smith I ntellectual debates over morality are one thing; policy formation is another. Sometimes there are clear correlations between law or policy and ethics, but that is the exception rather than the rule. Policy represents a response to pressure, interest, and public opinion as much as—if not more than—a deposit of community moral wisdom. Or is this dichotomy so clear? Perhaps a policy can be both politically pragmatic and morally wise. US policy and ethics concerning uses of animals in research illustrate the separation and complex connections among these levels of normative thought. This article will trace a selective and brief history of the movement to improve the treatment of animals involved in research, explain why that movement was largely ignored throughout most of the biomedical ethics revival of the last decades, and show the convergence of these currents in the development of US policy and regulations—although not in bioethics as a whole—over the past 25 yr. Concern for the Welfare of Animals to the 1960s British Origins American animal rights and welfare movements have their origins in British antivivisection societies. Although animal experimentation had been conducted for centuries, it was not widespread until the nineteenth century. Before the discovery of anesthesia in 1846, all animal experimentation was conducted without any pain-relieving measures. Even after the advent of anesthesia, vivisection was often performed without palliatives of any kind, sometimes in flagrant violation of humane policy (Orlans 1993). The belief that animals did not feel pain (owing in part to the legacy of Cartesian dualism that viewed animals as automata) persisted through much of the eighteenth and early nineteenth centuries. However, Jeremy Bentham (1748-1832) and later utilitarian philosophers—notably John Stuart Mill (1806-1873)—put the issue of pain at the center of their moral philosophy and proposed legal reforms for animal protection. Bentham and Mill believed that if animals could experience and anticipate Lisa Sideris is a Ph.D. candidate in Religious Studies at Indiana University, Bloomington, Indiana. David H. Smith, Ph.D., is Director of The Poynter Center for the Study of Ethics and American Institutions at Indiana University in Bloomington. Charles R. McCarthy, Ph.D., is with Georgetown University, Washington, D. C. Volume 40, Number 1 1999 pain, they deserved moral consideration regardless of any other apparent differences between humans and animals. Bentham summed up his argument in a passage cited repeatedly by animal advocates today: "The question is not, can they reason? nor, can they talk? but can they suffer?" (Bentham 1789). Long before organized opposition to cruelty to animals arose in England, the British had earned the reputation of being animal lovers—a "nation of pet-keepers," as one London magazine quipped. (See Harriet Ritvo's important discussion of the British tradition of pet-keeping [Ritvo 1987].) The widespread practice of pet-keeping moved the British public to regard the use of vivisection as problematic at best. British legal action to protect animals began with the passing in 1822 of the Act to Prevent Cruel and Improper Treatment of Cattle or "Martin's Act," after Richard Martin, who introduced the bill in the House of Commons. The act originally covered only large domestic animals, but it was amended in 1835 to include (as "cattle") bulls, dogs, bears, and sheep and to prohibit bear-baiting and cock-fighting. Between its founding in 1824 and the end of the century, the Royal Society for the Prevention of Cruelty to Animals (RSPCA1) was instrumental in supporting legislation to protect animals, creating shelters and veterinary hospitals and arguing for more humane transportation and slaughter of animals. Wild animals were generally not a focus of Victorian reforms, nor was the abolition of vivisection a primary or consistent priority of the Society; and some of its members, notably feminist and animal activist Frances Power Cobbe, soon left its ranks to oppose vivisection more directly. The practice of vivisection was particularly important to those favoring medical research. The Cruelty to Animals Act of 1876 established yearly licensing requirements for all experimenters and restrictions on experiments involving extreme pain or unnecessary duplication (Finsen and Finsen 1994; Guither 1998). 'Abbreviations used in this paper: AAALAC, Association for Assessment and Accreditation of Laboratory Animal Care; AHA, American Humane Association; ALDF, Animal Legal Defense Fund; ALF, Animal Liberation Front; APHIS, Animal Plant Health Inspection System; ASPCA, American Society for the Prevention of Cruelty to Animals; AWA, Animal Welfare Act; Guide, Guide for the Care and Use of Laboratory Animals; IACUC, institutional animal care and use committee; ILAR, Institute for Laboratory Animal Research; NIH, National Institutes of Health; OPRR, Office for Protection from Research Risks; PETA, People for the Ethical Treatment of Animals; PHS, Public Health Service; RSPCA, Royal Society for the Prevention of Cruelty to Animals; USDA, US Department of Agriculture. The RSPCA was not the only active organization. Socialist and animal advocate Henry Salt, aiming to promote the idea of "kinship of all sentient life," formed the Humanitarian League in 1891 (Ryder 1989). Salt and his followers meant to dispel the notion that concern for animals was simply a sentimental (and feminine) preoccupation—a common characterization, due to the largely female leadership of animal welfare groups. In 1911, animal cruelty legislation was consolidated under the Protection of Animals Act, which raised fines for "cruelty and prohibited cruelty to any bird, beast, reptile or fish," with the exception of animals wounded and killed in bloodsports (Ryder 1989, p 131). Why should Victorian Britain have turned its attention to the suffering of animals with such vigor? The Victorian era, which included the abolition of slavery and the rise of women's movements and animal protection groups, appears to have been a time of heightened sensitivity to pain (Turner 1980). The extent to which Darwin's theory of evolution focused British attention on the suffering of their animal kin is debated. In particular, Darwin's The Descent of Man and Selection in Relation to Sex (1871) and his Expression of the Emotions in Man and Animals (1872) emphasize the continuity of humans with the animal world. However, a "survival of the fittest" reading of Darwinism might appear to legitimize human domination of the lower animals; Darwinism sent mixed messages. Cobbe, for instance, eagerly embraced the implications of Darwinism for better treatment of animals, although she found the implications for human morality shocking (Cobbe 1895). If nothing else, Darwin's work appeared at a time when many people in England had begun seriously to reconsider their dealings with animals. Horror at vivisection may also reflect an anxiety over the role of science in society and an increasing concern over a loss of compassion among medical professionals (French 1975). As World War I approached, animal movements, particularly antivivisection, began to lose their force. Moreover, medical advances that had been made possible by animal testing were occurring. Diphtheria and cholera antitoxins as well as anthrax and rabies vaccines all were tested on animals. At the same time, Darwin's work was increasingly becoming associated with eugenics and reactionary nationalism. Although there remains some debate over whether advances in medicine are attributable to animal research or whether they were simply due to improvements in public health standards and sanitation, the connection between medical progress and use of animals in research was firmly established in the public mind (Sharpe 1988). Animal welfare and rights groups made little headway in the United Kingdom from the 1920s until the 1960s and -70s, when the RSPCA was revitalized by Richard Ryder. Ronald Lee and Clifford Goodman formed the Animal Liberation Front (ALF1) in England in 1972. We discuss the work of these organizations below (see University of Pennsylvania Baboons). American Pursuits America lagged slightly behind Britain in organizing animal movements. Although Puritan Nathanial Ward proposed two provisions for animal protection prohibiting "tyranny or cruelty" to cattle in 1641 in the Massachusetts Bay Colony (Finsen and Finsen 1994, p 42), it was only after the 1822 Martin's Act was passed in Britain that animal welfare movements began to take shape in America. In 1829, New York State passed a law making cruelty to large domestic animals (horses, oxen, and other cattle) a misdemeanor; a similar law was passed later in Massachusetts. After visiting the RSPCA in London, Henry Bergh decided to organize an American anticruelty society in 1866 (Finsen and Finsen 1994). The American Society for the Prevention of Cruelty to Animals (ASPCA1) devoted much of its attention to the treatment of work animals in cities, and Bergh soon gained a reputation for enforcing anticruelty statutes in person whenever he witnessed horses being overworked or beaten in New York City streets. In 1868, a New England horse race between two trotters named Empire State and Ivanhoe resulted in the deaths of both horses, after they had been driven to the point of collapsing (Carson 1972). George Angell, a Boston attorney, was outraged. Within a month, Angell had founded the Massachusetts Society for the Prevention of Cruelty to Animals. The Massachusetts group launched the publication of Our Dumb Animals (MSPCA 1868), the first periodical in the world concerned with the treatment of animals. The periodical carried stories about exceptional dogs and cats, published antivivisection essays, and produced investigative pieces on the unsanitary and inhumane conditions of slaughterhouses. Other anticruelty societies began to appear in the next few years, and by 1877, local and state animal protection groups became federated as the American Humane Association (AHA1). As in Britain, some animal advocates in America became increasingly concerned with the practice of vivisection, but attempts to pass legislation prohibiting vivisection met with even less success in America than in the United Kingdom. Antivivisection bills in the US Congress failed in 1866 and again in 1880. Those who saw vivisection as the chief evil to be eradicated became convinced, as Cobbe had in England, that anticruelty societies were not doing enough about the issue. Caroline Earle White founded the first antivivisection society in America in 1883. The medical and scientific communities were prepared to fight back. In fact, the rise of antivivisection movements appeared only to galvanize the opposition. The National Academy of Sciences and the American Medical Association successfully opposed an 1896 bill calling for regulation of vivisection. By 1908, animal researchers had formed a Council on Defense of Medical Research with the objective of securing the future of animal research in America. The Council published and distributed pamphlets, arguing for the WAR Journal benefits of animal research and maintaining the ability of animal researchers to regulate themselves (Finsen and Finsen 1994). As in Britain, animal researchers pointed to the recent strides made in curing and controlling disease. Antivivisectionists attempted to disarm provivisectors by arguing that cruelty to animals weakens one's moral character and leads to cruelty toward humans; the medical community countered that antivivisectionists were indifferent to human suffering and stood in the way of scientific progress (Finsen and Finsen 1994). Thus, lines of debate were drawn that continue to be discernible in the current controversy over the use of animals in research. Movements supporting the humane treatment and welfare of animals—as distinct from the antivivisection agenda— continued to make some progress in the early part of the 20th century, and by 1907, every state had some anticruelty statute. On the whole, however, the years between 1920 and 1960 were characterized by little or no increased protection of animals. This period of "stagnation," as Ryder calls it, was exacerbated by an almost exclusive concern in the AHA and ASPCA with the care of stray cats and dogs (Ryder 1989). Laboratory animals, farm animals, and wild animals remained virtually neglected. (Some progress was made in 1958 with the passing of the Humane Slaughter Act, which regulated the killing of food animals.) The AHA and ASPCA did not endorse, and often opposed, antivivisection. In fact, in the 1950s, the ASPCA was involved in the sale of pound animals to laboratories for purposes of experimentation (Finsen and Finsen 1994). The horrors involved in two world wars did not help antivivisectionists; for many who had witnessed the human devastation of war, concern for animal pain appeared "faintly ridiculous" (Ryder 1989). Whatever the reason, at a time when the volume of animal experimentation was increasing dramatically, the use of animals in research was virtually unchallenged. In the period after World War II, the practice of factory farming was also becoming the modus operandi in American agriculture. The conditions of animals in agriculture, laboratories, and the wild would not improve significantly until the 1960s, when concern for animals—and the environment as a whole—once again gained momentum. Biomedical Ethics Concern for animal welfare and biomedical ethics surged in the 1960s and early -70s, but their agendas were very different. There are at least two explanations for this fact, one of which is human finitude. The specific issues that comprised the agenda of biomedical ethics (such as respect for human subjects in research, care for the dying, and changes made possible by new technologies related to reproduction and genetic research) presented a sufficiently rich social and intellectual set of problems in themselves. The scholar's ability to be a generalist—keep abreast of all these issues and still Volume 40, Number 1 1999 add others to the agenda—was limited. Insofar as scholarly work was driven by a desire for social reform, bioethics groups were made up largely of persons whose interests lay elsewhere. Beyond the fact that moralists have limited ranges of interest and competence, there is another reason that concern with nonhuman animals was not central to bioethics: It did not fit well with the dominant intellectual paradigms driving the development of the field. Indeed, it still is something of a misfit. The first two major influential discussions of bioethics in the second half of the twentieth century were Joseph Fletcher's Morals and Medicine (Fletcher 1954) and Paul Ramsey's The Patient As Person: Explorations in Medical Ethics (Ramsey 1970). Writing in the 1950s, Fletcher argued against what he called "physicalism," and he was highly critical of traditional Roman Catholic natural law theory. He supported personalism—the idea that the central thing about a human being was the capacity to think and have feelings. We are most truly ourselves, Fletcher suggested, when we are most in control, most rational. Thus, he could argue that human beings lacking those capacities of thought were less than fully human. Obviously, that view was controversial since it challenged common notions of equal human rights. Fletcher was either praised as someone willing to empower rational decision making or criticized for insensitivity to the needs and problems of the weak, impaired, and needy. What did not get much attention was the fact that Fletcher's focus on the rational decision making capacities of some humans had the effect of devaluing not only nonrational people, but also nonhuman animals. Fletcher's reformist motivation focused so sharply on the need to empower people that he never developed a set of concepts that enabled him to explain how and why animal pain and distress mattered. Indeed, it would have been risky for him to have developed those concepts, for it would have forced him to concede the relevance of those same kinds of noncognitive feelings or factors in assessing the status of nonrational humans. Ramsey's argument and perspective were more subtle (Ramsey 1970), but the dominant theme in his work led to the same conclusion. The Patient As Person: Explorations in Medical Ethics begins with a chapter on experimentation with human subjects in which Ramsey developed a highly individualized and literalist view of the requirement of informed consent. Risk or injury to the human research subject was not the fundamental issue, he argued. Rather, the whole issue of the legitimacy of an experiment turned on whether this specific subject has consented to the experiment. Children, who cannot consent on their own behalf, cannot be legitimate research subjects if the research is not arguably for their benefit. Risk and benefit mattered, he conceded, but they were not the core of the issue. He held that research is made legitimate when the subject becomes a "partner" with the researcher, and partnership is impossible without consent. Ramsey clearly was troubled by his own focus on the conscious and deciding subject. In Chapter 4, he carried out a lengthy "thought experiment" about a father who wanted to donate his heart to his son; the donation would kill the father (Ramsey 1970, p 188). Ramsey wanted to resist the idea that consent was enough to make such an act right. However, the focus on the knowing, rational self continues throughout the book, including Ramsey's discussion of care for the dying. In that discussion, he opposed active euthanasia as a form of pushing someone beyond reach of care. Yet he allowed active euthanasia if the patient were totally comatose, that is, if the difference between remaining within reach of human care and dying were irrelevant to the patient. Ramsey pulled back from these exceptions in his later work (Ramsey 1978), becoming highly skeptical of the "death with dignity" movement. His emphasis on the importance of embodiment is clear in his discussions of abortion. His view was more complex than Fletcher's, but he led with the focus on the consenting person. Moreover, his discussions of the role of the body were focused distinctly on human bodies, and his argument proceeded from the assumption of the worth of the human self to an insistence that selves were embodied and that their "pre- or postrationality" bodies mattered. Nevertheless, there is little basis in Ramsey's work in bioethics for concern for the welfare of nonhuman animals. He could consistently have developed an animal welfare ethic, but he did not, and it was not a natural part of his intellectual trajectory that was targeted on loyalties and betrayals among human beings. Biomedical ethics has changed and developed in many ways in the 25 yr since Ramsey and Fletcher were among its leaders. However, the focus on care for humans—treating them with respect and justice—has continued to drive the field. The acme of this deontological preoccupation with human rights and dignity was probably H. Tristram Engelhardt, Jr.'s The Foundations of Bioethics (Engelhardt 1986) in which the whole argument is based on the importance of respect for the autonomy of each individual conscious agent. Even thinkers whose methodological starting point was self-consciously eclectic, as evidenced in the several editions of Tom L. Beauchamp and James Childress' Principles of Biomedical Ethics (Beauchamp and Childress 1983), made the principle of respect for persons central and were primarily concerned with the abuses of persons that can occur when well-intentioned compassion runs amuck. Although some aspects of biomedical ethics such as the notion of embodiment and a relationalist/personalist paradigm could have been a basis for urging reform in the care of laboratory animals, the emphasis on moral terms such as autonomy, consent, and rationality excluded animals at the outset. As mentioned above, Fletcher's understanding of personalism stressed the capacity of humans to think. However, the term "personalism" connoted more than this to some ethicists, particularly those within Roman Catholic theology. The embrace of personalism over physicalism signaled for them a greater valuation of the personal and interpersonal meaning of physical acts such as sexual intercourse. Biological function was deemphasized, and greater consider- ation was given to the broader social context in which physical life and acts unfold. This move in Roman Catholic moral theology2—away from emphasis on the analysis of specific physical acts and toward a more personalist perspective— foreshadowed the changing attitudes toward laboratory animals in recent years. A preference for "performance standards" (discussed below) over mechanical or engineering standards for evaluating the health and well-being of laboratory animals involves a recognition that their well-being entails more than a suitable physical environment. Performance standards emphasize an animal's behavior with other animals and with humans as an important indicator of its overall well-being. A connection between biomedical ethics and treatment of laboratory animals could have been made here—between personalism/relationalism and performance standards, both of which are concerned with more than physical life. However, no such parallels were drawn because the dominant, more individualist personalism made autonomy and rational decision making central. Additionally, the concept of rights has found a place in medical ethics as well as in animal advocacy. However, the deontological slant of a position such as Englehardt' s made his work an unlikely starting point for the inclusion of animal rights in biomedical ethics. Although some animals may appear to have rational abilities, most animal advocates would not single out rationality as a defining feature. If animals have rights, the basis of those rights must lie elsewhere than with their rational capacities, autonomy, and ability to consent. Concern for Animals from the Mid-1960s The moral status of animals once again became a topic that focused serious discussion in America in the 1960s and -70s. A number of developments outside the field of bioethics generated greater concern for animals during these years. In 1964, Ruth Harrison published Animal Machines, highlighting the often abominable living conditions of animals in factory farms. The study of both ecology and ethology in the 1960s reinforced a concern for the welfare of animals. Jane Goodall's work with chimpanzees and gorillas (Goodall 1967, 1971) underscored human kinship with primates and called attention to the need to protect them. In 1962, Rachel Carson's Silent Spring (Carson 1962) warned of species destruction and an almost apocalyptic aftermath of the widespread use of pesticides, particularly DDT. Environmental organizations such as the World Wildlife Fund and Greenpeace were founded in 1961 and 1969, respectively. The latter, initially a conservation and antinuclear group, gradually widened its scope to include animal protection as a major priority. In 1969, the Endangered Species Act gave some protection to wild animals. Concern for animals in the wild and in factory farms probably contributed to an increas2 For an account of this paradigm shift in Catholic theology, see James Gustafson's Protestant and Roman Catholic Ethics (Gustafson 1978). ILAR Journal ing awareness of the ethics of animal research; yet, as discussed below, the environmental movement in particular has often shared an uneasy relationship with proponents of animal rights and liberation. In addition to these important developments, the civil rights movement of the 1960s unleashed powerful cultural forces leading to protection of animals. Civil rights activists began to see parallels between gender- and race-based discrimination, on the one hand, and ill treatment of animals, on the other. Peter Singer in Animal Liberation (Singer 1975, 1990) popularized Richard Ryder's term, "speciesism": discrimination against nonhuman animals simply because they are of another species when that fact is irrelevant to the value at stake (such as pain and suffering). One example of the close connection between civil rights and concern for animals is the work of Henry Spira. After taking a course from Peter Singer at New York University, Henry Spira, a civil rights worker, turned his attention to what he believed to be a clear and indefensible example of speciesism—experimentation on animals. With the help of the Freedom of Information Act (a real boon to animal activists in America), Spira obtained detailed accounts of a series of experiments being conducted at the Museum of Natural History's cat laboratory. These experiments, aimed at discovering clues to sexual activity, involved blinding, deafening, and removing part of the brains of domestic cats. With the support of then-Congressman Ed Koch, Spira's efforts resulted in the withdrawal of National Institutes of Health (NIH1) funding and the subsequent dismantling of the cat laboratory in 1976-1977. In the 1980s, a group calling itself the People for the Ethical Treatment of Animals (PETA1) was formed by Alex Pacheco and Ingrid Newkirk. In 1980, Kenneth Shapiro organized the group Psychologists for the Ethical Treatment of Animals (PsyEta); and in 1984, the Animal Legal Defense Fund (ALDF1) was formed by attorneys and law students. The ALDF has taken on cases involving the legal status of laboratory animals, veal calves, and even wildlife. Popular opinion has often tended to draw a definite line between persons who defend animal rights and the liberation of laboratory animals, and who are opposed to any use of animals in research, and persons who advocate animal welfare protection and humane care and use of animals, but who are not opposed to or who endorse the use of animals in research. The distinction between those who recognize rights in animals and oppose research and those who opt for animal welfare and permit or endorse humane research may sometimes be useful, but it fails to describe accurately the positions taken by many leading contemporary philosophers. Some of those who advocate animal rights, such as Jerrold Tannenbaum, are fully supportive of the humane use of animals in research. Others, like Peter Singer, who does not claim rights for nonhuman animals, are strongly opposed to all or most research involving animal subjects. (For more on this topic, see Russow [1999] in this issue.) One of the foremost proponents of animal rights, Tom Regan, argues that the central issue for evaluating the moral status of animals is that animals must be recognized as "subVolume 40, Number 1999 jects of a life." They are not merely alive; they have lives. Animals, Regan argues, are conscious beings with capacities to desire, believe, and exhibit preferences; they entertain goals and act deliberately. As such, animals not only have intrinsic worth, they also share equal intrinsic worth with humans.3 Utilitarianism, Regan argues, is not concerned with individuals' lives; however, true moral concern for animals is based on a "radical egalitarian case for animal rights" (Regan 1994). Thus, Regan favors the total abolition of agribusiness, hunting, and medical and commerical research on animals, regardless of the benefits (great or small) to humans or the amount of pain (great or small) to animals. In contrast to the arguments of a utilitarian like Singer, animal rights are not based solely on the experience of pain and suffering. Regan and Singer reject speciesism, but on different terms. Perhaps a more serious conflict in American animal movements is that between animal activists and more holistic conservation and ecology movements. Although movements in ecology have fueled concern for animals in a variety of contexts, these two groups are often at cross-purposes because they disagree about objectives. Animal activists view the individual animal as the important issue; ecology-oriented approaches aim at the preservation of a greater whole—a species or ecosystem—occasionally at the expense of individual animal lives (see Donnelley [1999] in this issue). Wildlife management may require sacrificing the lives of members of an overrepresented species in an effort to sustain the numbers of a threatened species or to prevent starvation or malnutrition in the overpopulated species. Indeed, an ecological perspective need not privilege sentience over nonsentience: Holmes Rolston notes circumstances in which sentient animals (in one instance, goats) have been killed for the sake of preserving an endangered plant species (Rolston 1994). In such cases, the integrity of the ecosystem is given priority over the welfare of individual animals. To many animal activists, the killing of large numbers of sentient animals appears cruel and senseless; to holistic environmentalists, however, the focus of many rights and liberation arguments on the pain and suffering of animals seems equally ill-conceived, even bizarre. Pain, they point out, is not only necessary but even beneficial to the continuing survival and evolution of animal species. In particular, an ethic revolving around the issue of pain cannot be applied to animals in the wild. Although animal activists such as Singer draw on a biological argument for human kinship with animals to challenge the speciesist status quo, the neoBenthamite account of pain as an evil to be eradicated remains "biologically preposterous" to some environmentalists (Callicott 1995, p 53). The split between an ecological ethic 3 Regan acknowledges that not all animals possess the same level of consciousness, but he nevertheless maintains that all animals are subjects of a life and therefore have inherent value. He does not understand differing degrees of consciousness in animals as a basis for different treatment— unless, that is, we are also willing to concede that humans with diminished consciousness (infants, those with retardation, or those with some derangement) lack inherent worth. and an animal rights stance has yet to be completely bridged in America. Indeed, the question is often raised whether animal rights and liberation fall under the purview of environmental ethics at all (Sagoff 1993). Traditional Judeo-Christian teaching on divine creation has emphasized that only human beings, of all God's creatures, are made in God's image and likeness. Humans are therefore understood to be superior to animals. The Genesis description of Adam exercising the authority to "name" animals is typical of passages that are understood to mean that God has given animals to humans for their use and discretion. However, in the wake of criticisms of the Judeo-Christian attitude toward animals (see especially White 1967), many religious scholars have attempted to redefine the humannature relationship as one of stewardship and care, rather than despotism or dominion. Humans' godlikeness has been reinterpreted to entail a responsibility for trying to understand, care for, and order all of creation. According to this interpretation, human creation in the image of God is understood as responsibility rather than license. Animals are not given to us as subordinates but are to be celebrated as our companions and partners in creation. New Testament teaching, largely rooted in the Pauline texts, calls for humans to "restore all things in Christ." Aquinas understood Paul to mean that humans are to seek to understand creation—and to glorify God, who has brought all things into being. Creation comes from God (exitus) and, through human understanding, returns to God (reditus). Humans are seen to be high priests of creation, gathering all beings and their interrelationships into human understanding and praising the Creator who has given them being. In this view, humans may use other creatures (nonhuman animals in research, for example), provided they do so with awe, respect, and constraint. Some Christian writers have added another dimension to the discussion—liberation theology. The argument of liberation theology is that at the end of time, animals as well as human beings will be recipients of an eschatological peace and will experience an end to their suffering. Drawing on biblical writings (often the Isaiah and Pauline texts), Christian writers such as Charles Birch argue that Christians have an obligation to aid in the liberation of nature from oppression and suffering (Birch 1990). In this account, God's commitment to liberation and welfare begins with humans but extends to the rest of the animate creation. This expectation of a renewed creation often has little in common with philosophical liberation arguments, such as Singer's, which rest largely on a biological evidence of kinship. However, theological and philosophical liberationists do partially concur in terms of their mutual concern with eliminating the pain of animals; hence, both are open to criticism from ecological ethicists who view this concern as misguided. Over the years, the lack of consensus among animal advocates of various stripes may have presented an obstacle to any attempt to develop biomedical ethical theories applicable to both humans and animals. In developing an argu- ment for the moral status and treatment of animals, whether from a religious or secular perspective, some authors fail to distinguish clearly (1) animals in the wild, (2) domestic animals, and (3) laboratory animals. It may be that a single ethic cannot be applied to all. Until this issue is settled, establishing a commonly held biomedical ethic that can deal consistently with both animal and human research subjects may remain out of reach. Nevertheless, Peter Singer's work may be the best example of a coherent fusion of concern for the welfare of animals with expertise in human biomedical ethics. A number of other academic authors—Tom Regan, Mary Midgley, Michael Fox, and Bernard Rollin—have formulated arguments about human responsibilities to and for nonhuman animals that should not be ignored, but Singer has melded the two strands of social concern into a consistent whole. In Practical Ethics (Singer 1993), he argued for consistency across issues ranging from abortion and euthanasia to uses of animals. Consistency is achieved by minimizing the suffering of sentient life, especially sentient beings who are aware of their own past and future and might appropriately be called persons. There are, he argues, nonhuman persons as well as humans who are not persons. Needless to say these theses are controversial, but arguments advanced by Singer and others for them have successfully included animals as an inescapable element of the agenda of biomedical ethics. One symbol of this fact is that entries related to animals comprise 49 pages in the second edition of the Encyclopedia ofBioethics (Reich 1995;. Regulation in This Changing Context American regulation of the uses of laboratory animals in research reflects this complex history. One point seems clear, however: Changing attitudes toward treatment of laboratory animals owe little to developments within the field of bioethics. As described below, public outcry over a few wellpublicized cases of the purported misuse of animals in laboratories appears to have had a very important impact on changes in regulation. Changing perspectives in biomedical ethics have underscored the importance of the changes in rules and standards; but those changes were not ideologically driven in the 1970s and -80s. Beginning in 1963, NIH contracted with the Institute of Laboratory Animal Resources (ILAR1, later renamed Institute for Laboratory Animal Research) of the National Academy of Sciences to offer guidance for awardee institutions concerning the care, housing, and husbandry that should be provided for vertebrate animals involved in research. NIH and ILAR recognized that vertebrate animals involved in research must be housed and cared for in a humane and respectful manner, that research animals must be maintained in a contented and healthy state if reliable scientific results from their use are to be obtained, and that public support of research involving animal subjects is contingent on the animals being treated in a humane manner. ILAR Journal On the basis of this contract, ILAR produced in 1963 the first edition of the Guide for the Care and Use of Laboratory Animals (Guide1) (NRC 1963). Updated regularly over the years, the Guide is now recognized as a worldwide standard for a laboratory animal care and use program. In 1966, the Laboratory Animal Welfare Act was passed, requiring registration of all animal laboratories and licensing of all animal dealers.4 In 1970, it was renamed the Animal Welfare Act (AWA1) and expanded to include all warm-blooded species. The Office for Protection from Research Risks (OPRR1) played the key role in policy formation and enforcement, but that role changed greatly over time. From 1963 to 1979, OPRR's role in assuring animal welfare was for the most part limited to education and persuasion of staff veterinarians in institutions that were awarded Public Health Service (PHS1) grants. OPPR encouraged the hiring of diplomates of the American College of Laboratory Animal Medicine—veterinarians with advanced training and experience who are recognized as experts—to direct programs in the awardee institutions. Furthermore, it encouraged, but could not require, institutions to seek accreditation from the Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC1).5 The PHS Policy from 1963 and through the revision of 1979 was inadequate in many ways. Assurances of compliance signed by awardee institutions provided little detail beyond a statement that the institution intended to comply with the recommendations in the Guide. Assurances did not make it clear which senior institutional official would be held responsible for compliance with the Policy. Furthermore, assurances did not require prior review and approval of research protocols, and they required only minimal record keeping. As a consequence, although the assurances required in 1979 probably contributed in a small way to the improvement of care and use of animals, their impact was not great (see also Dresser [1999] in this issue). It was apparent that the quality of the animal programs in most institutions depended primarily on the institutional veterinarians and their staffs. If the veterinarians were well trained, given adequate resources, and allowed to exercise authority over the housing, care, and use of the animals, then the programs were compliant and strong. However, if institutional veterinarians lacked training, resources, or administrative support, their programs were usually weak. Many veterinarians complained that they were cast in the role of "research cops" who had obligations stemming from both their veterinary oath and their responsibility under the PHS 4 The Animal Welfare Act of 1966 (PL 89-544) was amended in (1) 1970 by PL 91-579, (2) 1976 by PL 94-279, and (3) 1985 by PL 99-198. 5 Formerly known as the American Association for the Accreditation of Laboratory Animal Care, AAALAC International provides on-site visitation, evaluation, and assessment of the quality of the laboratory animal care and use programs of its member institutions in the United States, Canada, and Europe. AAALAC uses the Guide as its standard for evaluating the quality of laboratory animal programs. Volume 40, Number 1999 Policy and the AWA to see that animals were properly cared for and humanely used in research. Unfortunately, in many cases, veterinarians lacked administrative authority to insist that research investigators use animals properly. In a typical research institution, tension existed between research investigators who used animals for their research and veterinarians who understood their role as ensuring that animals used in research be well maintained and experience as little pain or distress as possible. Many institutions had no central vivarium; animals were housed in convenient locations for research investigators. Department heads or individual research investigators were, in most cases, responsible for the animals involved in their research. They usually were not trained to care for the animals. Staff veterinarians were available for consultation, but many investigators failed to consult with their staff veterinarian because the cost of correcting problems might be charged to the researcher's grant. Between 1979 (when the PHS Policy was revised) and 1981, OPRR was preoccupied with responding to the recommendations of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Staff energy was devoted primarily to efforts to incorporate the recommendations of the National Commission into the Department of Health, Education, and Welfare Regulations for the Protection of Human Subjects. The sole veterinarian on the OPRR staff retired, and hiring freezes prevented recruiting a replacement veterinarian. OPRR's program for animal welfare was maintained but not improved during this period. After the Regulations for the Protection of Human Subjects were promulgated in 1981, OPRR began to improve its oversight of awardee programs involving laboratory animals. As soon as OPRR focused renewed attention on enforcement of the 1979 Policy, the Policy's shortcomings began to come to light. The Policy was vague regarding the level of detail required in an assurance document, and assurance documents were often brief. The Policy required animals to be maintained in a manner consistent with the recommendations in the Guide but failed to require documentation of how that was to be accomplished. The Policy did not require prior review and approval of protocols by an institutional animal care and use committee (IACUC1). For that reason, some studies involved more animals than necessary to achieve reliable scientific results. Inhumane procedures were sometimes carried out in the name of science. The Policy required little record keeping, and it made no provisions for voluntary reporting of problems associated with the care or use of laboratory animals. OPRR soon recognized that the Policy was both flawed and extraordinarily difficult to enforce. In 1982, OPRR began to gather information necessary to revise and upgrade the PHS Policy. Until that time, the Policy was endorsed by the authority of the Assistant Secretary for Health, who made compliance with the Policy a condition of receiving an award to carry out research involving laboratory animals. Issuance of the Policy was not required by law, and Congress paid little attention to labora- tory animals and the policies that governed their care and use. Then a series of events attracted public attention. Two cases in particular had a profound impact on the Policy. The cases described below are an interesting illustration of the fact that changes in policy regarding laboratory animals had little relation to currents within the field of biomedical ethics. Silver Spring Monkeys In late summer 1982, Alex Pacheco, then a student at George Washington University and a founder of PETA, took a summer job in the Silver Spring, Maryland, laboratory of Dr. Edward Taub. While Dr. Taub was away from his laboratory on vacation, Mr. Pacheco arranged to have several veterinarians visit the laboratory, which housed approximately 15 deafferented primates (that is, for each animal, the motor and sensory nerves of one arm were severed). Dr. Taub was studying regeneration of severed nerves. Mr. Pacheco took a series of colored photographs of the condition of the animals. Then he arranged for a state police raid on the facility under the Prevention of Cruelty to Animals law of the state of Maryland. The visiting veterinarians, the colored photographs, and the police report all alleged that the animals were housed in a filthy, fetid environment that constituted cruelty to the animals. Dr. Taub claimed that his laboratory was clean and well run when he left on vacation. He claimed that Mr. Pacheco had trashed the laboratory, failed to clean cages, neglected the animals, and subjected the laboratory to false reports of animal cruelty. In response, Mr. Pacheco claimed that he merely documented the deplorable state of the laboratory and the condition of the animals. Initially the matter was handled in the courts of Maryland. Dr. Taub was convicted on six counts of animal cruelty, but a court of appeals set aside the conviction on the grounds that since the laboratory was subject to the PHS, the issue was a federal matter. The court remanded custody of the animals to the NIH. OPPR initiated an investigation. OPRR was never able to determine with a high level of confidence whether (1) Dr. Taub operated an abominable laboratory, (2) Mr. Pacheco had trashed a well-run laboratory in Taub's absence, or (3) neglect by Taub and trashing by Pacheco combined to create a dreadful situation. Taub claimed that he had been "set up" by PETA in such a way that he appeared to be in serious noncompliance with the PHS Policy. Some of the facts in the case made such a defense plausible. For example, the prosecuting attorney for the state of Maryland subsequently took an administrative position with PETA. Furthermore, (1) the state temporarily housed the animals, in violation of a number of city ordinances, in the basement of a Rockville house owned by Ingrid Newkirk President of PETA; and (2) the animals were stolen from the Newkirk residence—only to be returned with no questions asked. These facts provide some circumstantial evidence to support the contention that PETA had indeed set up Dr. Taub. 10 Dr. Taub acknowledged to OPRR that his records were intact. The records showed that the animals had not received routine veterinary care for a period of years. Because the animals were deafferented, they required more specialized care than most other primates. Absence of veterinary care for a period of years constituted a serious violation of the PHS Policy. Taub's defense that he personally had provided care for the animals was considered inadequate. Dr. Taub's grant was suspended until such time as his laboratory could be brought into compliance and he was able to demonstrate that he could meet all the standards set forth in the Guide. Taub appealed the decision but lost the appeal. His laboratory was never restored, and the animals remained, by court order, in the custody of NIH (despite a series of lawsuits brought by PETA) for many years until all died or were euthanized. Custody suits brought by PETA were taken all the way to the Supreme Court, which confirmed decisions of the lower court that PETA had no legal standing on which to base its claim for custody of the animals. The "Case of the Silver Spring Monkeys," as it was called in the media, lasted for a period of approximately 10 yr. University of Pennsylvania Baboons In 1983, another case gained national headlines. A group that identified themselves as the Animal Liberation Front broke into the University of Pennsylvania Head Injury Clinic in Philadelphia. Equipment was smashed and files were scattered. Most important, approximately 60 hr of audio/videotapes were stolen. Research investigators had used the tapes to capture visual images of research animals—data concerning heartbeat, blood pressure, and brain wave activity—as well as investigators' comments. The protocol called for sedated baboons to be injured in a machine that simulated the "whiplash" motion that often inflicts damage to the neck and spine of humans involved in rear end auto crashes. The nature of the animals' injuries was to be studied, and the animals' unassisted recovery from injury was to be compared with the recovery of animals that received a variety of treatment modalities. The protocol was controversial because it required the infliction of a severe injury on the baboons. Each animal, ultimately, would be examined in terminal surgery. ALF gave the stolen audio-/videotapes to PETA. PETA edited the tapes, added a "voice-over commentary," and circulated the edited tape entitled Unnecessary Fuss6 to schools, newspapers, television networks, dozens of television stations—and Congress. Congress and members of the general public were shocked at the cruelty to and disregard for the research animals presented on the tape. PETA then petitioned the PHS to close the laboratory and punish the inves6 The title Unnecessary Fuss was derived from a statement by Dr. Weingarden, then Director of NIH, regarding an "unnecessary fuss" made by ALF and PETA over research involving animals—particularly that conducted at the Head Injury Clinic at the University of Pennsylvania. WAR Journal tigators, Drs. Langfit and Genarelli, for violation of the PHS Policy. OPRR refused to act on the basis of evidence contained in an edited tape. The University of Pennsylvania claimed that Unnecessary Fuss was a caricature of the actual proceedings that had taken place in the laboratory. For more than 1 yr, PETA refused to turn over the evidence it had to OPRR. In the spring of 1984, PETA sent the unedited tapes to the US Department of Agriculture (USDA1), which in turn sent them to OPRR. OPRR asked 18 veterinarians, mostly diplomates of the American College of Laboratory Animal Medicine, who were for the most part employed by various institutes within NIH, to review the tapes and report on their findings concerning violations of the PHS Policy or the AWA. In the meantime, OPRR conducted several site visits to the Head Injury Laboratory. On the last of those site visits, Dr. Genarelli performed a surgical procedure that he claimed was typical of those involved in the study. OPPR was astonished to learn that asceptic technique was sloppy, that smoking was allowed in the operating theater (improper on many grounds, and a dangerous procedure where oxygen tanks are stored and used), that the depth of induced anesthetic coma in the animals was questionable, and that most of the animals were not seen by an attending veterinarian either before or after the injury. However, OPRR discovered that Unnecessary Fuss presented the case history of only one of approximately 150 animals that had received whiplash. By clever editing and inaccurate voice over, the viewer was led to believe that the inhumane treatment depicted on the film was repeated numerous times. In actual fact, one baboon was badly treated, and the film repeatedly showed the particular mistreatment while the commentator narrated that the mistreatment was repeated on a long series of different animals. In all, OPRR identified approximately 25 errors in the voice over description of what was taking place. Typical was the statement accompanying an accidental water spill that acid had been carelessly poured on a baboon. Despite the fact that Unnecessary Fuss grossly overstated the deficiencies in the Head Injury Clinic, OPRR found many extraordinarily serious violations of the Guide. Veterinary and posttrauma nursing care for the animals was inadequate, surgical techniques were not carried out in the required aseptic manner, the operating theater was not properly cleaned, the holding facility lacked the required number of air changes per hour and other features required of a holding facility, and occupational health safeguards were not enforced. Furthermore, OPRR found deficiencies in the procedures for care of animals in many other laboratories operated under the auspices of the University of Pennsylvania. The University of Pennsylvania was put on probation by OPRR. The Head Injury Clinic was closed. The chief veterinarian was fired, the administration of animal facilities was consolidated, new training programs for investigators and staff were initiated, and quarterly progress reports to OPPR were required. Although OPRR dealt with a small number of additional Volume 40, Number 1999 cases of violation of the 1979 PHS Policy for the Care and Use of Laboratory Animals, the cases of the Silver Spring Monkeys and the University of Pennsylvania Head Injury Clinic were the two events that caught the attention of the public and Congress, illustrated the serious weaknesses in the 1979 Policy, and focused the attention of the Assistant Secretary for Health and the Director of NIH on the importance of upgrading the PHS Policy. As a result of these cases and heightened public sensitivity, OPRR took three major steps to upgrade the Policy for Humane Care and Use of Laboratory Animals. First, it convened a committee drawn from across the PHS to provide advice. Second, it persuaded Congress (particularly Congressman Doug Walgreen) to postpone legislation long enough for the new Policy to be promulgated and tested. Third, it initiated a series of educational workshops that were presented in every region of the country as well as to NIH staff. The proposed Policy was widely tested and discussed, and public comments were elicited. The PHS committee that drafted the new Policy was aware of the fact that a large majority of citizens supported the responsible conduct of biomedical research involving animals. However, that same majority opinion was strongly opposed to inadequate care for laboratory animals and was anxious to minimize the distress in these animals. After considerable discussion, the PHS committee concluded that IACUCs—patterned after institutional review boards, which had provided protections for human research subjects for nearly 20 yr—were needed. Furthermore, the PHS committee concluded that if IACUCs conducted prior review of each protocol proposing to involve laboratory animals, then animal pain could be minimized. Because IACUCs would be required to keep accurate minutes and records, they could provide accountability to the public that research was conducted according to the criteria described above. The PHS committee was aware that there existed no consensus—among scholars, the research community, or the public—supporting a comprehensive biomedical ethic of research involving animals. The PHS committee was unable to provide IACUCs with a widely held ethical framework comparable with that outlined in the Belmont Report, which identified principles to be used in evaluating research involving human subjects. The creation of IACUCs to review research involving animals was therefore an act of faith that IACUC members would gradually develop the ethical principles and standards needed to provide the intellectual framework for evaluating research involving animals. Most IACUCs have developed an "ethical scale" for evaluating protocols. The scale states that pain and distress inflicted on laboratory animals can be justified only by the quality and importance of the scientific objective of the study. Intense and prolonged pain can rarely be justified, and then only if the science is elegantly designed to obtain important knowledge that can be obtained in no other way. The revised PHS Policy was promulgated in May 1985. Promulgation of the Policy was coordinated with the publi11 cation of the 1985 version of the Guide (NRC 1985), edited and published by ILAR. The new Policy included many new provisions of which the most important new requirements were 1. requiring each assured institution to identify, both by name and office, the "institutional official" to be held responsible for assuring that the institution's laboratory animal program would meet or exceed the recommendations in the Guide; 2. establishing an IACUC in each awardee institution; 3. requiring semiannual inspection of all animal holding facilities followed by a report to OPRR of all deficiencies in facilities, staffing, or training and steps taken to remedy the deficiencies; 4. requiring an occupational health program including standard operating procedures for all persons who had contact with laboratory animals (a program designed to protect both human and animals); 5. requiring prospective and ongoing protocol review by the IACUC and periodic reporting to OPRR with a special proviso for immediate reporting of serious problems; and 6. beginning a system of evaluation based, at least in part, on "performance standards," that is, judging the worth of a program by the health of the animals and the speciesspecific behavior of the animals. The professional judgments of persons who attend the animals rather than technical compliance with requirements for cage sizes, facility cleanliness, frequency of air changes, and so forth were to be accorded significant weight. These PHS policies were, in effect, enacted into general law when the Congress enacted the Health Research Extension Act of 1985 (PL 99-158). The current Policy relies almost entirely on hands-on experience rather than the literature that was beginning to come from the bioethics movement in the United States dealing with the moral status of animals. The revised Policy—assisted no doubt by the strident, although often illegal and inaccurate, criticisms of the animal activists—accelerated the development of programs for the care and use of laboratory animals from a system that was, at best, mediocre to one in which Americans may legitimately take pride. The 1985 PHS Policy represents an act of trust that IACUCS would, over time, develop standards by which to judge prospective protocols involving animal subjects. That act of trust has been fully justified. IACUCS have examined virtually every procedure used by investigators and have evaluated virtually every system, method, and technique for caring for animals and documenting that care. One month after passing the Health Research Extension Act, Congress incorporated amendments to the AWA in the Food Security Act of 1985 (PL 99-198). The new law, which was to be administered by the USDA, was detailed, complex, specific, and internally inconsistent. Among its provisions, the Act called "for exercise of dogs" and ensuring the "environmental enrichment" of primates. It also called for harmo12 nization of policies from the two government agencies through USDA consultation with the Secretary of the Department of Health and Human Services. Initially in 1987, USDA minimized the harmonization clause and independently published proposed implementing regulations. A storm of criticism greeted the proposed rules. The USDA issued a revised proposal of regulations to implement the amendments to the 1985 AWA. The second set of proposed regulations met with criticism equal to or greater than that raised by its predecessor. The criticism reflected awareness on the part of the biomedical research community that the flexible system promulgated by the PHS Policy, which left important discretion to local IACUCs, was successfully improving the care, and minimizing the pain and distress, of animals. The research community was unwilling to endorse regulations that relied solely on engineering standards similar to those that had characterized earlier USDA regulations. Thousands of angry letters were sent to the USDA, to Congress, and to the White House protesting the proposed regulations. The general theme of the letters called for reduction of engineering standards and the adoption of performance standards in the new regulations. Staff of the Animal Plant Health Inspection System (APHIS1) of the USDA discussed the matter many times with OPRR staff, and they jointly decided that a meeting should be held between the Assistant Secretary for Health and his counterpart from the USDA. Leaders from APHIS and OPRR and lawyers from the USDA and the Department of Health and Human Services participated in the meeting. The historic outcome of that meeting was an agreement to rely heavily on the clause in the AWA that called for consultation between the two departments. OPRR and APHIS agreed to "harmonize" the PHS Policy and the AWA regulations as much as possible, consistent with the law. APHIS and OPRR worked together to produce regulations that introduced into USDA regulation performance standards to be used instead of, or in addition to, engineering standards. The Office of Management and Budget, representing the White House, welcomed the agreement and authorized promulgation of the harmonized rules. USDA regulations produced in 1991 met with instant approval and endorsement from the research community, but they were criticized by animal activists and challenged in court by the ALDF. The ALDF won its case against the performance provisions in the regulations dealing with dogs and nonhuman primates in the lower court but was found by the court of appeals to have no standing. The Supreme Court refused to grant a writ of certiorai. A more recent suit resulted in standing being granted by the full District Court to one individual who was harmed by observing treatment of a nonhuman primate in a private zoo. At the time of this writing, this case is being appealed to the Supreme Court. The shift to a performance standard and the cooperation among government agencies are particularly important efforts to ensure the welfare of animals used in research. In the 1970s and 1980s, the relationship between USDA officials with responsibility for implementing the AWA and OPRR ILAR Journal staff was cool and distant. Rivalry, suspicion, and contrasting approaches to regulations characterized the relationship. The USDA approach was overseen by its Office of General Counsel and sought to produce rules that could be enforced in court proceedings. Emphasis on standards that could be easily measured, weighed, or documented characterized the USDA rules. Until the 1985 amendments to the AWA, the USDA's authority was confined to holding facilities for animals. It exercised little jurisdiction over the use of laboratory animals in research. USDA inspectors had been trained to check such items as cage sizes, expiration dates on feed bags, sanitation, air flow, clean water dispensers, thermostats, pest control, lighting, bedding, and cage washing. Because USDA chose not to exercise jurisdiction over rats and mice (approximately 90% of all the animals used in research), inspectors never visited research facilities that used only those rodents. Because there were so many items on the USDA check list, virtually every institution failed to meet some USDA standards. On Monday mornings, for example, most cages are littered in most laboratories. Inspectors visiting a holding facility on a Monday almost always found sanitation to be deficient because the cages had not been cleaned since the preceding Friday. If a bulb had burned out, a cage washer needed repair, a crack had formed in a wall or a ceiling (which could possibly harbor vermin) even though it was sprayed weekly with hot water and disinfectant, the institution could fail inspection. The standards were difficult to meet and allowed important elements, such as the animals' health and social interactions with others of their kind, to go uninspected. Under the new regulations harmonized with the PHS Policy, all of these items are evaluated, but the primary evaluation is directed to the health of the animals. If the animals exhibit normal behavior, eating habits, and social interaction, have good coats, are neither too thin nor too fat, have been checked periodically by a veterinarian, are socialized to other animals and to their human caretakers, then mechanical failures and floor cracks are not viewed by USDA inspectors as serious. In other words, the engineering standards are viewed in the light of outcome or performance standards and judged accordingly. Performance standards require better trained inspectors who are qualified to evaluate animals. Staff from the Division of Animal Welfare within OPRR have worked closely with staff from APHIS to develop common standards for inspection and evaluation of animal facilities and practices. Because performance standards rely on professional judgment, it is important for site visitors from OPRR and inspectors from APHIS to reach an understanding regarding how to implement the performance standards. Although occasional disagreements and conflicts have surfaced, each disparity has been resolved between the two offices. Inspection teams from AAALAC have also adopted interpretations of the regulations consistent with those of APHIS and OPRR. Largely as a result of the harmonization that was initiated in 1990, the management of animal facilities and the conduct of animal research have, by all accounts, Volume 40, Number 1999 improved dramatically. As noted above, this shift to performance standards is consistent with the new emphasis on social or interactive personalism in biomedical ethics. However, the move toward performance standards seems to have occurred independently of changing currents within biomedical ethics that might have supported it, had biomedical ethics explicitly widened its scope to include nonhuman animals. Conclusion Despite a relative paucity of interest on the part of scholars in biomedical ethics, concern with the health, welfare, and (for some) the interests of animals used in research has become part of the agenda of biomedical ethics. Regulatory accountability for the welfare of laboratory animals in the United States has improved steadily over the past quarter century and dramatically since the late 1980s. Concern with animal socialization and welfare reflects more generally ideas that are important in biomedical ethics. Conflict between persons and groups who differ on the legitimacy of doing any research on all (or classes) involving nonhuman animals can be expected to continue. The practical and philosophical issues involved are complex, and there is no general consensus on their resolution. However, there appears to be nearconsensus on the importance of maintaining the welfare of research animals. Research animal welfare is dramatically improved under the current policy and regulations. There are a number of possible explanations for the fact that concern with research animals was not a central part of the biomedical ethics agenda from the beginning. Prevailing paradigms in the field did not provide a natural starting point for concern with animals. Preoccupation with the choices of a rational subject leading to great concern with consent and autonomy pushed a different agenda. Yet even for scholars working from different philosophical perspectives, convergence between concern for animals and bioethics did not occur. Singer's work is the best example to date of an effort to establish an ethic that can be consistently applied to humans in bioethics and to animals in research. However, because Singer minimizes differences between the moral status of humans and animals, his work is unlikely to provide a synthesis that is acceptable both to the research community and to its critics. An alternative comprehensive vision would be welcome (DeGrazia 1991, 1996). References Beauchamp TL, Childress JF. 1983. Principles of Biomedical Ethics. New York: Oxford University Press. Bentham J. 1789. 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